Individual
PYMANEH DAVALLOO- MANSOURI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
47 POND ST, ASHLAND, MA 01721-2054
(508) 872-4860
(508) 270-3979
Mailing address
47 POND ST, ASHLAND, MA 01721-2054
(508) 872-4860
(508) 270-3979
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PH25357
MA
Other
Enumeration date
11/30/2020
Last updated
11/30/2020
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